Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GORDON EMERGENCY PHYSICIANS, LLC

NPI: 1205290467 · CALHOUN, GA 30701 · Emergency Medicine Physician · NPI assigned 04/13/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more

$3.40M
Total Medicaid Paid
56,089
Total Claims
53,863
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date04/13/2016

Related Entities

Other providers sharing the same authorized official: LARSEN, KIM

ProviderCityStateTotal Paid
THE CAROLINAS EMERGENCY GROUP, PLLC DUNN NC $20.49M
GASTONIA PHYSICIAN SERVICES, PLLC GASTONIA NC $15.73M
SANTA ANA PHYSICIANS GROUP, PC INDIO CA $12.38M
ETOWAH EMERGENCY PHYSICIANS, LLC CEDARTOWN GA $10.77M
NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC LAURINBURG NC $10.60M
ROBESON EMERGENCY PHYSICIANS, PLLC LUMBERTON NC $9.80M
CENTRAL GEORGIA EMERGENCY GROUP, LLC MACON GA $8.75M
DES MOINES RIVER PHYSICIANS, LLC DES MOINES IA $8.16M
KINSTON PHYSICIANS GROUP, PLLC KINSTON NC $8.05M
PASSAIC RIVER PHYSICIANS, LLC PATERSON NJ $6.70M
TENNESSEE EMERGENCY PHYSICIANS, PLLC MEMPHIS TN $6.27M
GEORGIA EMERGENCY GROUP, LLC GRIFFIN GA $6.27M
HOUSTON COUNTY EMERGENCY GROUP, LLC WARNER ROBINS GA $5.30M
BULL CITY PHYSICIANS, PLLC HENDERSON NC $4.65M
PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLA FL $4.59M
WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE NC $4.24M
BRUNSWICK PHYSICIAN PARTNERS, PLLC BOLIVIA NC $4.21M
TENNESSEE RIVER PHYSICIANS, PLLC CHATTANOOGA TN $3.87M
PIEDMONT TRIAD PHYSICIANS, PLLC THOMASVILLE NC $3.84M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,406 $825K
2019 8,804 $563K
2020 4,783 $299K
2021 7,528 $355K
2022 9,159 $439K
2023 7,906 $530K
2024 4,503 $386K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 18,282 17,632 $1.45M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,320 10,723 $1.05M
99283 Emergency department visit for the evaluation and management, moderate severity 11,021 10,739 $525K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,971 2,849 $177K
87428 1,297 1,263 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 563 552 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,364 2,302 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 218 211 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 182 177 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,007 934 $5K
99051 204 199 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 42 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 38 $701.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29 29 $23.17
3008F 1,131 1,073 $0.00
3074F 843 789 $0.00
1036F 1,335 1,256 $0.00
1125F 67 65 $0.00
3079F 226 218 $0.00
G8708 Patient not prescribed antibiotic 32 30 $0.00
1126F 26 26 $0.00
1160F 946 884 $0.00
3078F 1,043 993 $0.00
1159F 880 827 $0.00
99053 12 12 $0.00